MU Stage1 Final Rule - Clinical Summaries

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SECTION # Section 170.304(h)—Clinical Summaries

MU OBJECTIVE Provide clinical summaries for patients for each office visit.

MU STAGE 1 MEASURE Clinical summaries provided to patients for more than 50% of all office visits within 3 business days.

CERTIFICATION CRITERION Final Rule Text: §170.304(h). Clinical summaries. Enable a user to provide clinical summaries to patients for each office visit that include, at a minimum, diagnostic test results, problem list, medication list, and medication allergy list. If the clinical summary is provided electronically it must be: (1) Provided in human readable format; and (2) Provided on electronic media or through some other electronic means in accordance with: (i) The standard (and applicable implementation specifications) specified in §170.205(a)(1) or §170.205(a)(2); and (ii) For the following data elements the applicable standard must be used: (A) Problems. The standard specified in §170.207(a)(1) or, at a minimum, the version of the standard specified in §170.207(a)(2); (B)Laboratory test results. At a minimum, the version of the standard specified in §170.207(c); and (C) Medications. The standard specified in §170.207(d).

STANDARDS §170.205(a)(1) §170.205(a)(2) §170.207(a)(1) §170.207(a)(2) §170.207(c) §170.207(d)


TEST CRITERIA # §170.304(h) http://healthcare.nist.gov/docs/170.304.h_ClinicalSummaries_v1.0.pdf

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